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General NPI Number Information
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NPI Number | 1558127506
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Entity Type | Organization
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Legal Business Name | LAMBERT WELLNESS LLC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 9990 COCONUT RD STE 324
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City | ESTERO
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State | FL
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Zip | 34135-8488
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Country | US
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Telephone | 239-248-6079
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Fax | 239-444-1995
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Provider Business Mailing Address
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Address Line | 9990 COCONUT RD STE 324
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City | ESTERO
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State | FL
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Zip | 34135-8488
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Country | US
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Telephone | 239-248-6079
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Fax | 239-444-1995
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JENNIFER LAMBERT
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Credential | LMT, LE
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Telephone | 239-776-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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